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General NPI Number Information
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NPI Number | 1801078704
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Entity Type | Organization
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Legal Business Name | STEPHEN M. FEINBERG, MD INC
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 09/18/2017
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Provider Practice Location Address
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Address Line | 1280 S VICTORIA AVE SUITE 130
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City | VENTURA
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State | CA
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Zip | 93003-6555
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Country | US
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Telephone | 805-676-9296
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Fax |
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Provider Business Mailing Address
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Address Line | 1280 S VICTORIA AVE SUITE 130
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City | VENTURA
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State | CA
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Zip | 93003-6555
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Country | US
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Telephone | 805-676-9296
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. ALISA RAY FEINBERG
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Credential |
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Telephone | 805-676-9296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | G47858
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License Number State | CA
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